OvationHealthcare

Patient Account Resolutions Team Lead

Medco Services Full time

Duties and Responsibilities:

  • Effectively execute the call center's vision, mission, and objectives, ensuring alignment with organizational priorities.

  • Meet or exceed departmental key performance indicators (KPIs), driving the team toward consistent success.

  • Offer ongoing, two-way feedback to encourage high performance, foster a productive work environment, and promote continuous improvement.

  • Provide support to agents by handling complex accounts, taking escalated calls, and offering guidance on call handling as needed.

  • Maintain open lines of communication with agents, supervisors, and managers to ensure a cohesive team environment.

  • Conduct side-by-side live monitoring with Patient Account Resolution (PAR) Specialists for up to 90 minutes daily, providing real-time coaching and support.

  • Actively listen to agents' feedback and ideas to improve the overall workplace experience and foster a culture of continuous improvement.

  • Manage PIR (Patient Incident Reports) and other incident-related cases to ensure timely and accurate resolution for patients.

  • Monitor queue status regularly to ensure call center operations run efficiently and effectively in alignment with metric goals.

  • Communicate effectively with the management team to provide insights on employee performance and coaching needs, enabling data-driven decision-making.

  • Identify and implement opportunities for improvement in work processes and procedures, enhancing overall efficiency.

  • Create, update, and maintain procedural documentation as necessary to ensure alignment with current practices and regulatory standards.

  • Use sound judgment in decision-making and interdepartmental communication, ensuring a seamless flow of information.

  • Dedicate time each shift to monitor the call center specialists, providing hands-on leadership and ensuring operational efficiency.

  • Set aside time each shift to manage billing office ticklers, proactively contacting patients as needed for follow-up.

  • Provide additional support during periods of high call volume by assisting with inbound and inbound dialer queues.

  • Work rotational weekend shifts, on-call during inclement weather, or after-hours shifts as required, ensuring consistent support during peak times.

Knowledge, Skills, and Abilities:

Knowledge

  • Knowledge of customer service best practices.

  • Knowledge of calculating discounts.

  • Knowledge of client requirements and guidelines.

  • Understanding of billing and recovery cycle.

  • Understanding of legal rules and regulations pertaining to billing, collections, and HIPPA.

  • Working knowledge of Windows-based systems and Microsoft Office products

  • Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, designing forms, writing policy, and other office procedures and terminology.

  • Knowledge of business and management principles involved in strategic planning, resource allocation, human resource modeling, leadership technique, and coordination of people and resources.

Skills

  • Active Listening — Giving full attention to what others are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.

  • Time Management — Effectively managing one’s own time to maximize productivity.

  • Active Learning — Understanding the implications of new information for both current and future problem-solving and decision-making.

  • Organizational Skills

  • Problem Solving/Analysis

  • Judgment and Decision Making

  • Interpersonal Skills

Abilities

  • Leadership – Ability to motivate, develop, coach, mentor, and lead others.

  • English Comprehension – The ability to fluently communicate in and understand English, the primary language of the work team.

  • Written Comprehension — The ability to read and understand information and ideas presented in writing.

  • Written Expression — The ability to communicate information and ideas in writing so others will understand.

  • Oral Comprehension — The ability to listen to and understand information and ideas presented through spoken words and sentences.

  • Oral Expression — The ability to communicate information and ideas in speaking so others will understand.

  • Speech Recognition — The ability to identify and understand the speech of another person.

  • Speech Clarity — The ability to speak clearly so others can understand oral communication.

  • Problem Sensitivity — The ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing there is a problem.